ATI LPN
Introduction to Nursing Practice Questions
Question 1 of 5
The nurse is assigned to be the primary nurse of a client who has a history of bisexuality and whose sexual values are quite different from their own. The nurse's most appropriate initial action during the pre-interaction phase of the relationship should be to:
Correct Answer: B
Rationale: In the pre-interaction phase, self-reflection is key to ensure biases don't hinder care. Changing the client's values is unethical and judgmental. Reviewing literature or probing reasons comes later; first, the nurse must address personal feelings to maintain professionalism. This step prevents countertransference, ensuring a therapeutic, nonjudgmental relationship, making B the best initial action.
Question 2 of 5
Which of the following is a physiological response experienced during the exhaustion stage of general adaptation syndrome?
Correct Answer: D
Rationale: In Selye's General Adaptation Syndrome, exhaustion follows resistance, depleting resources. Decreased immune response occurs as cortisol overproduction weakens immunity. Alertness and neuroendocrine activity mark earlier stages, while Alpha state is unrelated. Exhaustion's immune decline explains illness susceptibility, making it the correct response.
Question 3 of 5
When attempting to take the blood pressure of a client newly admitted to a hospice program, the client pushes the stethoscope away, loudly stating that nothing the nurse can do will help anyway, and asks the nurse to leave. The nurses response should be based on the knowledge that
Correct Answer: B
Rationale: Anger at dying often targets caregivers, per Kübler-Ross's grief stages. Reducing anger isn't priority, vitals matter in hospice , and switching nurses avoids the issue. Recognizing anger's source guides empathetic response, making it the basis.
Question 4 of 5
A client tells the nurse, 'My doctor thinks my problems with stress relates to the negative way I think about things, and he wants me to learn a new way of thinking.' Which response would be in keeping with the doctor's recommendations?
Correct Answer: C
Rationale: The doctor suggests cognitive restructuring, addressed by reframing irrational thoughts , per Cognitive Behavioral Therapy. Biofeedback , journaling , and imagery don't directly target thinking patterns. Option C aligns with changing negative cognition, reducing stress, making it the response.
Question 5 of 5
Peplau's most universal contribution to the practice of mental health nursing is the identification of
Correct Answer: A
Rationale: Peplau's key contribution is defining anxiety levels , guiding therapeutic interactions in mental health nursing. Developmental analysis , environmental responses , and defense mechanisms are others' work or less central. Anxiety levels underpin her interpersonal theory, making it her universal impact.